Catastrophic health spending among older adults in India: Role of multiple deprivation

Autor: Basant Kumar Panda, Sanjay K. Mohanty
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Aging and Health Research, Vol 2, Iss 4, Pp 100100- (2022)
Druh dokumentu: article
ISSN: 2667-0321
DOI: 10.1016/j.ahr.2022.100100
Popis: Background: Previous studies have assessed catastrophic health spending (CHS) is high among households with older member, but no studies have examined its association with multiple deprivation. The purpose of this study is to compare the incidence and determinants of CHS between multiple deprived and non-deprived households in India. Methods: Data for this paper was obtained from the 75th round of the National Sample Survey (NSS), a cross-sectional household survey conducted in 2017-18. The multiple deprivation index was estimated using Alkire and Foster method while CHS was estimated using the capacity to pay approach. Logistic regression analysis was used to identify the determinants of CHS in both types of households. Results: The study found 43% of households with an older member were deprived in multiple dimensions. We found the incidence of CHS was 19% among households with an older adults; 22% among multiple deprived and 16% among the multiple non-deprived older adult households. Regression analysis result suggest that the odds ratio of incurring CHS was 1.84 (p
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